Israr Ahmad, M.D.

Individual provider Active NPI Hospitalist Physician · Atlantic City, NJ

NPI 1669796702 · NPPES record last updated Mar 21, 2014

Key facts

NPI
1669796702
Entity type
Individual (NPI type 1)
Primary specialty
Hospitalist Physician 208M00000X
License
25MA08754400 (NJ)
Practice address
1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone
(609) 441-8146
NPI assigned
Mar 18, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20101214001212 NJ Practitioner - Internal Medicine 2961698220 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101247223VAMDInternal Medicine Physician
25MA08754400NJMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group PA Hospitalist Current Accepting new patients

Locations

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

2500 English Creek Ave
Ste 602
Egg Harbor Twp, NJ 08234
Phone (609) 272-6340

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 25MA08754400 NJ Yes
Internal Medicine Physician 207R00000X 0101247223 VA

Addresses

Primary practice location

1925 Pacific Ave
Atlantic City, NJ 08401-6713

Mailing address

1042 Bally Bunion Dr
Egg Harbor City, NJ 08215-5104
Phone (631) 565-2777

Other providers in Atlantic City, NJ

All providers in Atlantic City, NJ · Hospitalist Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.